Individual provider Active NPI

Sidney Michael Sutton Sr., MD

  • Family Medicine Physician
  • Elizabeth City, NC
National Provider Identifier
1811978158
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29045 Issued in NC
Practice address
1141 N Road St Ste G
Elizabeth City, NC 27909-3354
Phone
(252) 337-9120
Fax
(855) 330-7320
NPI assigned
Nov 11, 2005
Last updated
Dec 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 29045 NC Primary

Addresses

Primary practice location

1141 N Road St Ste G
Elizabeth City, NC 27909-3354

Mailing address

1141 N Road St Ste G
Elizabeth City, NC 27909-3354
Phone (252) 337-9120

Other identifiers 1

IdentifierTypeStateIssuer
5900660MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090717000599 NC Practitioner - Family Practice 9032171996 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Eastern Virginia Medical School, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

100 Medical Dr
Elizabeth City, NC 27909-3361
Phone (252) 384-2600

102 Rhodes Ave
Windsor, NC 27983-9656
Phone (252) 794-5322

103 Arpdc St
Hertford, NC 27944-1219
Phone (252) 426-2100

160 US Hwy 158 E
Camden, NC 27921-7521
Phone (252) 338-4460

202 W Hicks St
Edenton, NC 27932-1865
Phone (252) 482-6003

2793 Caratoke Hwy
Currituck, NC 27929-9609
Phone (252) 232-4058

29 Medical Ctr Rd
Gates, NC 27937-9816
Phone (252) 357-1380

711 Roanoke Ave
Elizabeth City, NC 27909-5643
Phone (252) 338-4400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29045NCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Albemarle Physician Services - Sentara, Inc CurrentSince Apr 11, 2016 Accepting new patients
Albemarle Regional Health Services CurrentSince May 27, 2009 Accepting new patients
Albemarle Regional Health Services CurrentSince May 27, 2009 Accepting new patients
Albemarle Physician Services- Sentara, Inc. CurrentSince Apr 11, 2016 Accepting new patients
Albemarle Physician Services - Sentara, Inc Family Medicine Current Accepting new patients
Albemarle Family Practice PLLC Family Medicine PastSince Nov 2, 2004 Accepting new patients

Locations

211 Virginia Rd
Edenton, NC 27932
Phone (252) 384-2590

905 Thunder Rd
Ste 210
Elizabeth City, NC 27909
Phone (252) 334-0460

100 Medical Dr
Elizabeth Cty, NC 27909
Phone (252) 338-5183

1141 N Road St
Elizabeth Cty, NC 27909
Phone (252) 331-1333

1141 N Road St
Ste G
Elizabeth Cty, NC 27909
Phone (252) 335-5424

1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610

711 Roanoke Ave
Elizabeth Cty, NC 27909
Phone (252) 338-4370

Interoperability endpoints

  • Direct secure messaging: ssutton119850@direct.sentara.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1811978158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 N ROAD ST STE G",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093354",
            "telephone_number": "252-337-9120",
            "fax_number": "855-330-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 N ROAD ST STE G",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093354",
            "telephone_number": "252-337-9120",
            "fax_number": "855-330-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "SIDNEY",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-11",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "29045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900660",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

Verify at the official NPI Registry.